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Travis Petersen

Prosthetist

835 Johns Hopkins Dr Suite B
Greenville , North Carolina 27834-7268

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Image

Travis Petersen

Prosthetist

835 Johns Hopkins Dr Suite B
Greenville , North Carolina 27834-7268

(252) 752-5424

Write a Review Save Call

Travis Petersen

Prosthetist

835 Johns Hopkins Dr Suite B
Greenville , North Carolina 27834-7268

(252) 752-5424 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Prosthetist

Languages spoken

  • English

Location

835 Johns Hopkins Dr Suite B Greenville , North Carolina 27834-7268

First Address

  • Travis Petersen
  • 835 Johns Hopkins Dr Suite B
  • Greenville, NC
  • Zip : 27834-7268
  • Fax : (252) 752-5424
  • Phone : (252) 752-7422

Second Address

  • Travis Petersen
  • 835 Johns Hopkins Dr Suite B
  • Greenville, NC
  • Zip : 27834-7268
  • Fax : (252) 752-5424
  • Phone : (252) 752-7422

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FAQs


Where did Travis Petersen attend graduate school?

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Where did Travis Petersen do his residency?

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Where did Travis Petersen do his fellowship?

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Is Travis Petersen board certified?

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What type of doctor is Travis Petersen

Prosthetist

In what state does Travis Petersen practice in?

North Carolina

Where is Travis Petersen ’s practice located?

835 Johns Hopkins Dr Suite B , Greenville, North Carolina, 27834-7268

What is Travis Petersen ’s gender?

Male

Is Travis Petersen a sole practitioner?

No

Is Travis Petersen accepting new patients?

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What languages does Travis Petersen speak?

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Does Travis Petersen accept insurance?

Yes, Travis Petersen accepts insurance

Does Travis Petersen offers telemedicine?

Travis Petersen has not indicated if he offers telemedicine

What is Travis Petersen ’s professional license number?

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What is Travis Petersen ’s NPI number?

1164963278

Does Travis Petersen have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 224P00000X Prosthetist C52140

National Provider Identifier

NPI 1164963278
Provider Name Travis Petersen
First Address Greenville, NC 27834-7268
Second Address Greenville, NC 27834-7268
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 09/03/2017
Last Update Date 09/03/2017

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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